Registered Nurse, Full-Time/Dayshift (Cardiac Cath Lab)

Orlando Health•Orlando, FL

23h•Onsite

About The Position

The Registered Nurse administers patient care in a hospital or inpatient setting for patients with advanced illnesses or injuries requiring timely, intense, and complex care to stabilize and support their medical conditions. These areas require lower caregiver-to-patient ratios and highly trained team members with advanced skills. The role includes assessing and monitoring patients, anticipating changes in their conditions, developing and revising individualized plans of care, coordinating and documenting care, and collaborating with medical staff and interdisciplinary teams. Nurses may serve as preceptors, charge nurses, unit educators, or nurse clinicians and contribute to staff development and quality improvement. For trained Advanced Care Registered Nurses serving as ECMO Specialists, duties include staffing extracorporeal life support services, operating and monitoring ECMO equipment and circuits, supporting patient stability, managing ECLS during transport, and maintaining continuous ECLS coverage. Specialists work under unit leadership and in collaboration with intensivist, perfusion, and bedside teams.

Requirements

Graduate of an approved school of nursing.
Meet all mandatory, developmental, and performance competency requirements for Orlando Health and the unit or department.
One year of experience required unless approved by AVP level or above.
Maintain a current State of Florida RN license or valid eNLC multistate RN license.
Maintain current BLS/Healthcare Provider certification.
ACLS, NRP, PALS, or TNCC certification is required for certain areas; NRP is required for the Neonatal Intensive Care Unit (NICU).

Responsibilities

Provide complex nursing care requiring advanced assessment, therapies, high-intensity interventions, and continuous vigilance.
Use patient information and assessment data to anticipate and respond to changing conditions.
Prioritize information and take immediate, decisive, evidence-based, patient-focused action.
Monitor and adjust specialized patient equipment and interpret and document electronic displays, including pressure readings, cardiac rhythms, and readings from respiratory and oxygen equipment.
Respond to life-saving situations according to nursing standards and protocols.
Observe, monitor, and assess patients; recognize serious situations and contact a physician or take preplanned emergency measures when a physician is unavailable.
Assess patient needs, develop or revise individualized plans of care, and evaluate progress toward expected outcomes.
Build respectful relationships with team members and customers, respect diversity, and advocate for patients and families.
Provide age-appropriate care and apply knowledge of growth and development across the life span.
Serve as a preceptor, charge nurse, unit educator, and/or nurse clinician.
Communicate and collaborate with medical staff and interdisciplinary teams to plan and manage unit or department activities.
Serve as a role model and support hospital and nursing department goals and strategies.
Coordinate care and delegate appropriately to other team members.
Document patient care—including assessments, education, medication administration, treatments, and safety—in accordance with required and regulatory standards.
Demonstrate competency in nursing skills and unit-specific patient care equipment.
Prioritize patient care in accordance with evidence-based standards and identify and resolve problems effectively.
Delegate tasks according to patient needs and team members’ capabilities and qualifications.
Communicate relevant information about patient conditions and unit concerns to healthcare team members.
Provide a compassionate and therapeutic environment for patients and families.
Demonstrate awareness of legal issues and patients’ rights.
Collaborate with the education department and nursing leadership to transition and support new team members and students.
Maintain reasonably regular and punctual attendance and comply with Orlando Health policies and procedures.
For trained ECMO Specialists, provide daily staffing for ECLS services and collaborate with unit leadership, intensivists, perfusion services, bedside staff, physicians, and other healthcare team members.
For trained ECMO Specialists, support adequate perfusion, appropriate acid-base balance, and hemodynamic stability within ordered parameters.
For trained ECMO Specialists, perform required technical skills safely and accurately while anticipating, troubleshooting, and managing crises and emergencies.
For trained ECMO Specialists, perform scheduled, unscheduled, and emergency ECLS in the hospital setting.
For trained ECMO Specialists, operate ECMO equipment under the direction of physicians or perfusion providers and monitor and optimize the ECMO circuit and related equipment.
For trained ECMO Specialists, administer ordered blood products and medications through the ECMO circuit and manage equipment connected in-line with the circuit.
For trained ECMO Specialists, manage ECLS during transport and ensure continuous ECLS coverage.
For trained ECMO Specialists, attend mandatory quarterly simulations.
Contribute to the knowledge and skills of others and to continuous improvement in healthcare quality and organizational outcomes.
Participate in and possibly lead unit-level or organizational nursing practice and performance improvement committees.
Participate in peer review, mentoring, and coaching related to professional practice or role performance.
Use supplies efficiently and maintain a clean, safe, and organized work area.
Attend staff development in-services, department meetings, and/or nursing committee meetings.
Partner with nursing leadership to identify professional development needs and take responsibility for continuing education.
Perform other duties as assigned.
For trained ECMO Specialists, maintain ECMO/perfusion equipment and supplies and provide relevant information to a supervisor or director in conjunction with biomed or vendors.
Provide critical nursing resource support to the CVICU or other areas as directed by leadership when not providing ECLS services.